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* Mandatory Fields
Vehicle Type
*
[Vehicle Type]
2 W
C
T
Manufacturer price
Date of purchase
Vehicle Manufacturer
*
[Vehicle Manufacturer]
Bajaj Auto
Hero Honda
Honda Motor
Kinetic Engg
Kinetic Motor
LML
Royal Enfield
TVS
Yamaha
Daewoo
Fiat
Ford
Hindustan
Honda
Hyundai
Mahindra
Maruti
Mercedes-Benz
Opel
Skoda
TATA
AL
Toyota
Bajaj Tempo
HM
Piaggio
Others
Depreciation %
Date of proposal
Vehicle Model/ make
*
[Vehicle Model]
Value of side car/ trailer
Date of Registration
Cubic capacity (cc)
Value of CNG/ LPG kit
City of registration
*
[City of Registration]
Ahmedabad
Bangalore
Chennai
Delhi
Hyderabad
Kolkatta
Mumbai
Other state capital
Pune
Rest of India
Weight (GVW in kgs.)
Value of Electrical/Electronic accessories
Vehicle zone
Seating capacity
Value of other accessories
Age of vehicle (days)
Add on Cover
% discount for NCB
[NCB]
20
25
30
35
45
50
55
65
Automobile Association
Yes
No
Fibre Glass Fuel tank ?
Yes
No
% loading for Malus
[Mallus]
10
15
25
30
40
50
Anti-theft device
Yes
No
Voluntary Excess
0
2500
5000
7500
15000
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All Rights Reserved. Cholamandalam MS General Insurance Company Ltd. "Insurance is a subject matter of solicitation"
